结肠癌合并肠梗阻的治疗分析

Analysis of Treatmentof Colorectal Cancer Complicated with Intestinal Obstruction

目的对结肠癌并发肠梗阻进行外科治疗的方法探讨。方法对我院在2011年1月至2017年1月收治的82例结肠癌合并急性肠梗阻手术治疗的临床资料进行回顾性分析。结果 34例患者均进行了手术治疗,其中82例一期肿瘤切除后吻合49例,单纯造瘘22例,Hartmann手术11例,均治愈出院。结论一期切除吻合手术治疗结肠癌并急性肠梗阻是可行的,合理的选择术式,正确的术中操作和围手术期处理,对提高疗效,改善患者生活质量也同样重要。

Objective To explore the surgical management of the acute intestinal obstruction caused by colon cancer. Methods The clinical data of 43 cases of the acute intestinal obstruction caused by colon cancer were analyzed retrospectively from January 2000 to January 2010 in our hospital. Results All the 64 patients received operation, 14 cases were subjected to resection and anastomosis, 7 cases underwent pure colostomy. 7 cases underwent Hartmann operation. All of them were cured and discharged. Conclusion One stage resection and anastomosis is a feasible operation for obstructive colorectal Carcinoma. Appropriate choice of the operative procedure, skillful operative technique, and prudential perioperative treatment can enhance the cuerative effect and the patients quality of life.